Heart : official journal of the British Cardiac Society
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Comparative Study
Using alternatives to the car and risk of all-cause, cardiovascular and cancer mortality.
To investigate the associations between using alternatives to the car which are more active for commuting and non-commuting purposes, and morbidity and mortality. ⋯ More active patterns of travel were associated with a reduced risk of incident and fatal CVD and all-cause mortality in adults. This is an important message for clinicians advising people about how to be physically active and reduce their risk of disease.
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Performing transfemoral transcatheter aortic valve implantation (TAVI) without general anaesthesia (GA) has been increasingly adopted. We sought to study the impact of GA and non-GA approaches on procedural outcome and 30-day and 1-year mortality in transfemoral TAVI. ⋯ Procedure outcome, and 30-day and 1-year mortality are not influenced by mode of anaesthesia. However, GA is associated with longer procedure duration and greater length of stay.
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Meta Analysis
Coronary intervention door-to-balloon time and outcomes in ST-elevation myocardial infarction: a meta-analysis.
This study aims to determine the relationship between door-to-balloon delay in primary percutaneous coronary intervention and ST-elevation myocardial infarction (MI) outcomes and examine for potential effect modifiers. ⋯ PROSPERO (CRD42015026069).
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Observational Study
Underutilisation of public access defibrillation is related to retrieval distance and time-dependent availability.
Public access defibrillation doubles the chances of neurologically intact survival following out-of-hospital cardiac arrest (OHCA). Although there are increasing numbers of defibrillators (automated external defibrillator (AEDs)) available in the community, they are used infrequently, despite often being available. We aimed to match OHCAs with known AED locations in order to understand AED availability, the effects of reduced AED availability at night and the operational radius at which they can be effectively retrieved. ⋯ Existing AEDs are underused; 36.4% of OHCAs are located within 500 m of an AED. Although more AEDs will improve availability, greater use can be made of existing AEDs, particularly by ensuring they are all available on a 24/7 basis.